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The Effect of Pelvic Floor Exercises During Pregnancy on Obstetric Outcomes and Urinary Incontinence: A Prospective Randomized Controlled Trial
The study is a randomized controlled trial. It will be conducted at Konya City Hospital between December 2025 and June 2026. A total of 151 primiparous pregnant women will be included in the study (intervention group n=75, control group n=76). The intervention group will receive a pelvic floor exercise program, while the control group will not perform any pelvic floor exercises. Data will be collected using a personal information form, a pre-labor and post-labor follow-up form, and the Michigan Incontinence Severity Index.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| No intervention | Placebo Comparator | The control group will consist of pregnant women who do not do any pelvic floor exercises. |
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| Intervention Group | Experimental | Pregnant women in the exercise group will participate in an eight-week pelvic floor exercise program. The program begins with a face-to-face group training session during a childbirth preparation class at Konya City Hospital, in groups of 15, led by a midwife. Training covers pelvic floor anatomy, correct muscle identification, Kegel exercises, breathing, relaxation techniques, and exercise demonstrations. Following the session, participants will perform exercises three times a week for eight weeks, including Kegels, breathing-coordinated contractions, pelvic floor exercises in various positions, core stabilization exercises, and integration into daily activities. Weekly video materials will support proper exercise and motivation, and participants will record their practice in an exercise diary. At the end, experiences will be evaluated, and guidance for postpartum continuation will be provided. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pelvic Exercise Group | Other | Pregnant women in the exercise group will participate in an eight-week pelvic floor exercise program. The program begins with a face-to-face group training session during a childbirth preparation class at Konya City Hospital, in groups of 15, led by a midwife. Training covers pelvic floor anatomy, correct muscle identification, Kegel exercises, breathing, relaxation techniques, and exercise demonstrations. Following the session, participants will perform exercises three times a week for eight weeks, including Kegels, breathing-coordinated contractions, pelvic floor exercises in various positions, core stabilization exercises, and integration into daily activities. Weekly video materials will support proper exercise and motivation, and participants will record their practice in an exercise diary. At the end, experiences will be evaluated, and guidance for postpartum continuation will be provided. |
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of the sociodemographic characteristics of pregnant women before the training with a survey. | Sociodemographic information of pregnant women will be collected through surveys, compared, and reported. | 7 month |
| Comparison of obstetric characteristics of pregnant women before the training with a questionnaire. | Obstetric data of pregnant women will be collected through questionnaires, compared, and reported. | 7 month |
| Comparison of delivery methods among pregnant women across groups. | Labor and postpartum data will be collected, compared, and reported using a follow-up form. | 7 month |
| Comparison of the severity of episiotomy in pregnant women between groups. | Pregnancy and postpartum follow-up data will be collected, compared, and reported using a form. | 7 month |
| Comparison of the Michigan Incontinence Severity Index for pregnant women between groups. | The Michigan Incontinence Severity Index (M-ISI) will be administered to pregnant women. The scale consists of three subscales: stress incontinence, urge incontinence, and pad use/discomfort. Each subscale is scored separately. The RM-ISI ranges from 0 to 40 points (min-max), a higher score indicates more severe symptoms/discomfort for the relevant subscale. | 7 month |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seyhan Çankaya | Konya | 42250 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D014549 | Urinary Incontinence |
| D059952 | Pelvic Floor Disorders |
| ID | Term |
|---|---|
| D014555 | Urination Disorders |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D059411 | Lower Urinary Tract Symptoms |
| D020924 | Urological Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D011248 | Pregnancy Complications |